NPI 1033777990
Ken Dietz
Practice location
- Address
- 20 E Fairview Ave, Meridian, ID 83642-1732
- Phone
- (208) 888-4414
- Mailing address
- 4582 W Gillette St, Meridian, ID 83642-4278
Registered specialties
Pharmacy Technician
Primary
Registry record
- NPI
- 1033777990
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Jun 2019
- Record last updated
- 4 Jun 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.